Provider Demographics
NPI:1790355410
Name:PREMIER CASE MANAGEMENT
Entity Type:Organization
Organization Name:PREMIER CASE MANAGEMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED NURSE CASE MANAGER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:SHARRON
Authorized Official - Middle Name:E
Authorized Official - Last Name:WHITE
Authorized Official - Suffix:
Authorized Official - Credentials:BSN, RN, CCM
Authorized Official - Phone:248-539-1500
Mailing Address - Street 1:28552 ORCHARD LAKE RD STE 100
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48334-2922
Mailing Address - Country:US
Mailing Address - Phone:248-539-1500
Mailing Address - Fax:248-539-1502
Practice Address - Street 1:28552 ORCHARD LAKE RD STE 100
Practice Address - Street 2:
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48334-2922
Practice Address - Country:US
Practice Address - Phone:248-539-1500
Practice Address - Fax:248-539-1502
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-25
Last Update Date:2021-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WC0400XNursing Service ProvidersRegistered NurseCase ManagementGroup - Multi-Specialty